37191

Insertion of vena cava filter with review by radiologist

Medicare pricing data for 6,159 providers across 52 states

🤖AI Overview

This procedure has a 12.1x markup — hospitals charge $3,094 but Medicare allows only $256.10. Uninsured patients may face bills 12.1 times higher than what insurance negotiates. Prices vary significantly by location — from $184 in South Dakota to $464 in Connecticut. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Insertion of vena cava filter with review by radiologist (HCPCS code 37191) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $256.10, but hospitals typically charge $3,094 — a 12.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$51.22

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $256.10, your out-of-pocket cost would be approximately $51.22. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$256.10
Average Hospital Charge
$3,094
Markup Ratio
12.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,093.52
Medicare Allowed$256.10
Medicare Payment$203.40

Hospitals charge 12.1x more than what Medicare allows for this procedure. Medicare actually pays $203.40 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$464$5,18099260+81.2%
Virginia$335$3,072161591+30.7%
Georgia$319$3,725211562+24.7%
Arizona$319$3,132118430+24.7%
Maryland$317$1,702132545+23.7%
New York$309$6,3214261,313+20.5%
New Jersey$293$4,140222798+14.5%
Tennessee$277$2,429162495+8.3%
Massachusetts$276$1,930152362+7.7%
Florida$274$2,8805301,842+7.0%
Alaska$264$8,792913+3.1%
California$251$4,1805141,810-2.2%
Texas$233$3,0505031,387-9.1%
Illinois$224$2,3252701,067-12.4%
District of Columbia$222$2,18827129-13.3%
Wyoming$216$4,722817-15.7%
Rhode Island$214$1,8962443-16.4%
Delaware$214$1,3161757-16.5%
Vermont$214$5,662916-16.6%
Pennsylvania$213$2,297291878-16.8%
Washington$212$2,01186250-17.4%
Michigan$211$1,190171510-17.5%
New Mexico$210$1,3682283-18.1%
Maine$210$1,2511932-18.1%
Montana$209$1,8361837-18.5%
Hawaii$208$7851631-18.6%
Louisiana$208$3,18592194-18.9%
Puerto Rico$208$9971021-18.9%
North Dakota$206$2,3871647-19.4%
Colorado$206$1,62385208-19.7%
North Carolina$204$3,238167514-20.2%
New Hampshire$204$1,5713381-20.3%
Ohio$204$2,176237667-20.4%
Missouri$203$2,265125441-20.5%
Nevada$203$2,76045202-20.7%
Kentucky$199$2,58675192-22.4%
Minnesota$199$2,20473223-22.4%
Mississippi$198$2,48364220-22.5%
West Virginia$197$1,45027104-23.1%
South Carolina$197$2,465106306-23.3%
Oregon$196$1,77060198-23.5%
Utah$195$1,5693686-23.8%
Oklahoma$195$1,41177193-24.0%
Iowa$194$2,4383990-24.2%
Wisconsin$194$5,052105257-24.3%
Alabama$192$2,503108295-24.9%
Nebraska$191$3,70336108-25.5%
Indiana$190$3,894115271-25.9%
Arkansas$189$3,25648166-26.1%
Idaho$187$1,70730105-26.8%
Kansas$185$95239160-27.7%
South Dakota$184$1,0242348-28.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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